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HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 401k Plan overview

Plan NameHENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN
Plan identification number 001

HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HENRY MAYO NEWHALL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:HENRY MAYO NEWHALL HOSPITAL
Employer identification number (EIN):952821104
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01MARK A. PULEO
0012016-01-01JAISA CREPS
0012015-01-01MARK PULEO
0012014-01-01MARK PULEO
0012013-01-01MARK PULEO
0012012-01-01MARK PULEO2013-10-14 MARK PULEO2013-10-14
0012011-01-01MICHAEL MELNICK
0012009-01-01MICHAEL MELNICK MICHAEL MELNICK2010-10-15
0012009-01-01MICHAEL MELNICK MICHAEL MELNICK2010-10-15

Plan Statistics for HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN

401k plan membership statisitcs for HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN

Measure Date Value
2022: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,709
Total number of active participants reported on line 7a of the Form 55002022-01-011,283
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01523
Total of all active and inactive participants2022-01-011,806
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-014
Total participants2022-01-011,810
Number of participants with account balances2022-01-011,697
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0131
2021: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,703
Total number of active participants reported on line 7a of the Form 55002021-01-011,285
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01422
Total of all active and inactive participants2021-01-011,707
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-012
Total participants2021-01-011,709
Number of participants with account balances2021-01-011,595
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0131
2020: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,035
Total number of active participants reported on line 7a of the Form 55002020-01-011,297
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01403
Total of all active and inactive participants2020-01-011,700
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-013
Total participants2020-01-011,703
Number of participants with account balances2020-01-011,594
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0121
2019: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,400
Total number of active participants reported on line 7a of the Form 55002019-01-013,653
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-01377
Total of all active and inactive participants2019-01-014,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-012
Total participants2019-01-014,035
Number of participants with account balances2019-01-011,493
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,952
Total number of active participants reported on line 7a of the Form 55002018-01-012,097
Number of retired or separated participants receiving benefits2018-01-0111
Number of other retired or separated participants entitled to future benefits2018-01-01288
Total of all active and inactive participants2018-01-012,396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-014
Total participants2018-01-012,400
Number of participants with account balances2018-01-011,444
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0129
2017: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,225
Total number of active participants reported on line 7a of the Form 55002017-01-011,688
Number of retired or separated participants receiving benefits2017-01-019
Number of other retired or separated participants entitled to future benefits2017-01-01254
Total of all active and inactive participants2017-01-011,951
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-011,952
Number of participants with account balances2017-01-011,382
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0128
2016: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,637
Total number of active participants reported on line 7a of the Form 55002016-01-012,004
Number of retired or separated participants receiving benefits2016-01-016
Number of other retired or separated participants entitled to future benefits2016-01-01213
Total of all active and inactive participants2016-01-012,223
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-012,225
Number of participants with account balances2016-01-011,259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0118
2015: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,130
Total number of active participants reported on line 7a of the Form 55002015-01-012,069
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-01216
Total of all active and inactive participants2015-01-012,289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-012,290
Number of participants with account balances2015-01-011,148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0129
2014: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,649
Total number of active participants reported on line 7a of the Form 55002014-01-011,956
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-01171
Total of all active and inactive participants2014-01-012,130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-012,130
Number of participants with account balances2014-01-011,044
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-018
2013: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,690
Total number of active participants reported on line 7a of the Form 55002013-01-011,579
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0158
Total of all active and inactive participants2013-01-011,637
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,637
Number of participants with account balances2013-01-01842
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,459
Total number of active participants reported on line 7a of the Form 55002012-01-011,675
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-0112
Total of all active and inactive participants2012-01-011,690
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,690
Number of participants with account balances2012-01-01756
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,438
Total number of active participants reported on line 7a of the Form 55002011-01-011,375
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0184
Total of all active and inactive participants2011-01-011,459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,459
Number of participants with account balances2011-01-01851
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-01111
2009: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,321
Total number of active participants reported on line 7a of the Form 55002009-01-011,302
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0170
Total of all active and inactive participants2009-01-011,372
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,372
Number of participants with account balances2009-01-01819
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-014

Financial Data on HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN

Measure Date Value
2022 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-9,151,590
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$11,548,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$11,165,575
Expenses. Certain deemed distributions of participant loans2022-12-31$151,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$14,478,112
Value of total assets at end of year2022-12-31$136,253,801
Value of total assets at beginning of year2022-12-31$156,954,247
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$232,193
Total interest from all sources2022-12-31$441,382
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$4,281,115
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$4,281,115
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$3,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$9,108,141
Participant contributions at end of year2022-12-31$2,830,116
Participant contributions at beginning of year2022-12-31$2,805,252
Assets. Other investments not covered elsewhere at end of year2022-12-31$194,745
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$888,114
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,201,821
Other income not declared elsewhere2022-12-31$7,019
Administrative expenses (other) incurred2022-12-31$167,575
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-20,700,446
Value of net assets at end of year (total assets less liabilities)2022-12-31$136,253,801
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$156,954,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$64,618
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$111,176,798
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$132,572,329
Value of interest in pooled separate accounts at end of year2022-12-31$963,032
Value of interest in pooled separate accounts at beginning of year2022-12-31$1,227,341
Interest on participant loans2022-12-31$136,926
Interest earned on other investments2022-12-31$304,456
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$16,922,216
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$15,500,188
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-28,110,506
Net investment gain/loss from pooled separate accounts2022-12-31$-248,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,168,150
Employer contributions (assets) at end of year2022-12-31$4,166,894
Employer contributions (assets) at beginning of year2022-12-31$3,961,023
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$11,165,575
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BAKER TILLY US, LLP
Accountancy firm EIN2022-12-31390859910
2021 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$31,860,234
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,624,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,245,697
Expenses. Certain deemed distributions of participant loans2021-12-31$128,389
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$13,702,630
Value of total assets at end of year2021-12-31$156,954,247
Value of total assets at beginning of year2021-12-31$134,718,323
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$250,224
Total interest from all sources2021-12-31$409,810
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$6,460,911
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$6,460,911
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$8,530,438
Participant contributions at end of year2021-12-31$2,805,252
Participant contributions at beginning of year2021-12-31$2,588,894
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$6,376
Assets. Other investments not covered elsewhere at end of year2021-12-31$888,114
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$891,550
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,211,169
Other income not declared elsewhere2021-12-31$12,134
Administrative expenses (other) incurred2021-12-31$181,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$22,235,924
Value of net assets at end of year (total assets less liabilities)2021-12-31$156,954,247
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$134,718,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$69,107
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$132,572,329
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$110,710,037
Value of interest in pooled separate accounts at end of year2021-12-31$1,227,341
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,085,978
Interest on participant loans2021-12-31$128,407
Interest earned on other investments2021-12-31$281,403
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$15,500,188
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$15,533,015
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$11,047,654
Net investment gain/loss from pooled separate accounts2021-12-31$227,095
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,961,023
Employer contributions (assets) at end of year2021-12-31$3,961,023
Employer contributions (assets) at beginning of year2021-12-31$3,902,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,245,697
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BAKER TILLY US, LLP
Accountancy firm EIN2021-12-31390859910
2020 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$29,170,596
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$11,239,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$10,982,507
Expenses. Certain deemed distributions of participant loans2020-12-31$59,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$12,804,947
Value of total assets at end of year2020-12-31$134,718,323
Value of total assets at beginning of year2020-12-31$116,787,648
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$197,948
Total interest from all sources2020-12-31$388,175
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$3,969,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$3,969,214
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$3,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$8,041,444
Participant contributions at end of year2020-12-31$2,588,894
Participant contributions at beginning of year2020-12-31$2,728,329
Participant contributions at end of year2020-12-31$6,376
Participant contributions at beginning of year2020-12-31$2,083
Assets. Other investments not covered elsewhere at end of year2020-12-31$891,550
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$622,317
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$828,382
Other income not declared elsewhere2020-12-31$9,517
Administrative expenses (other) incurred2020-12-31$142,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$17,930,675
Value of net assets at end of year (total assets less liabilities)2020-12-31$134,718,323
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$116,787,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$54,958
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$110,710,037
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$96,484,355
Value of interest in pooled separate accounts at end of year2020-12-31$1,085,978
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,034,524
Interest on participant loans2020-12-31$138,072
Interest earned on other investments2020-12-31$250,103
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$15,533,015
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$12,128,121
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$11,814,079
Net investment gain/loss from pooled separate accounts2020-12-31$184,664
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,935,121
Employer contributions (assets) at end of year2020-12-31$3,902,473
Employer contributions (assets) at beginning of year2020-12-31$3,787,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$10,982,507
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BAKER TILLY US, LLP
Accountancy firm EIN2020-12-31390859910
2019 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$34,428,767
Total income from all sources (including contributions)2019-12-31$34,428,767
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$14,567,030
Total of all expenses incurred2019-12-31$14,567,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$14,087,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$14,087,784
Expenses. Certain deemed distributions of participant loans2019-12-31$63,286
Expenses. Certain deemed distributions of participant loans2019-12-31$63,286
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$14,248,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$14,248,452
Value of total assets at end of year2019-12-31$116,787,648
Value of total assets at end of year2019-12-31$116,787,648
Value of total assets at beginning of year2019-12-31$96,925,911
Value of total assets at beginning of year2019-12-31$96,925,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$415,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$415,960
Total interest from all sources2019-12-31$462,690
Total interest from all sources2019-12-31$462,690
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$3,706,123
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$3,706,123
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$3,706,123
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$3,706,123
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$7,958,130
Contributions received from participants2019-12-31$7,958,130
Participant contributions at end of year2019-12-31$2,728,329
Participant contributions at end of year2019-12-31$2,728,329
Participant contributions at beginning of year2019-12-31$2,265,287
Participant contributions at beginning of year2019-12-31$2,265,287
Participant contributions at end of year2019-12-31$2,083
Participant contributions at end of year2019-12-31$2,083
Participant contributions at beginning of year2019-12-31$616
Participant contributions at beginning of year2019-12-31$616
Assets. Other investments not covered elsewhere at end of year2019-12-31$622,317
Assets. Other investments not covered elsewhere at end of year2019-12-31$622,317
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$725,225
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$725,225
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,502,403
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,502,403
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,289
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,289
Other income not declared elsewhere2019-12-31$72,031
Other income not declared elsewhere2019-12-31$72,031
Administrative expenses (other) incurred2019-12-31$282,439
Administrative expenses (other) incurred2019-12-31$282,439
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$35,780
Total non interest bearing cash at beginning of year2019-12-31$35,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$19,861,737
Value of net income/loss2019-12-31$19,861,737
Value of net assets at end of year (total assets less liabilities)2019-12-31$116,787,648
Value of net assets at end of year (total assets less liabilities)2019-12-31$116,787,648
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$96,925,911
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$96,925,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$133,521
Investment advisory and management fees2019-12-31$133,521
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$96,484,355
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$96,484,355
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$74,967,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$74,967,824
Value of interest in pooled separate accounts at end of year2019-12-31$1,034,524
Value of interest in pooled separate accounts at end of year2019-12-31$1,034,524
Value of interest in pooled separate accounts at beginning of year2019-12-31$810,340
Value of interest in pooled separate accounts at beginning of year2019-12-31$810,340
Interest on participant loans2019-12-31$143,445
Interest on participant loans2019-12-31$143,445
Interest earned on other investments2019-12-31$319,168
Interest earned on other investments2019-12-31$319,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$59,759
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$59,759
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$59,759
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$59,759
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$77
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$77
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$12,128,121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$12,128,121
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$14,461,446
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$14,461,446
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$15,715,431
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$15,715,431
Net investment gain/loss from pooled separate accounts2019-12-31$224,040
Net investment gain/loss from pooled separate accounts2019-12-31$224,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,787,919
Contributions received in cash from employer2019-12-31$3,787,919
Employer contributions (assets) at end of year2019-12-31$3,787,919
Employer contributions (assets) at end of year2019-12-31$3,787,919
Employer contributions (assets) at beginning of year2019-12-31$3,596,345
Employer contributions (assets) at beginning of year2019-12-31$3,596,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$14,087,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$14,087,784
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BAKER TILLY US, LLP
Accountancy firm name2019-12-31BAKER TILLY US, LLP
Accountancy firm EIN2019-12-31360859910
Accountancy firm EIN2019-12-31360859910
2018 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$11,166,342
Total of all expenses incurred2018-12-31$10,267,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,900,119
Expenses. Certain deemed distributions of participant loans2018-12-31$8,453
Value of total corrective distributions2018-12-31$23
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$16,168,678
Value of total assets at end of year2018-12-31$96,925,911
Value of total assets at beginning of year2018-12-31$96,026,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$358,818
Total interest from all sources2018-12-31$419,365
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,840,368
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,840,368
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$3,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$7,531,320
Participant contributions at end of year2018-12-31$2,265,287
Participant contributions at beginning of year2018-12-31$2,318,865
Participant contributions at end of year2018-12-31$616
Participant contributions at beginning of year2018-12-31$0
Assets. Other investments not covered elsewhere at end of year2018-12-31$725,225
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$705,807
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,587,085
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$3,289
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$3,461
Other income not declared elsewhere2018-12-31$-50,605
Administrative expenses (other) incurred2018-12-31$223,414
Total non interest bearing cash at end of year2018-12-31$35,780
Total non interest bearing cash at beginning of year2018-12-31$27,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$898,929
Value of net assets at end of year (total assets less liabilities)2018-12-31$96,925,911
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$96,026,982
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$135,404
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$74,967,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$79,717,204
Value of interest in pooled separate accounts at end of year2018-12-31$810,340
Value of interest in pooled separate accounts at beginning of year2018-12-31$894,736
Interest on participant loans2018-12-31$107,029
Interest earned on other investments2018-12-31$312,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$59,759
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$22,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$22,063
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$90
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$14,461,446
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$12,336,896
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-7,157,961
Net investment gain/loss from pooled separate accounts2018-12-31$-53,503
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$7,050,273
Employer contributions (assets) at end of year2018-12-31$3,596,345
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,900,119
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2018-12-31360859910
2017 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$24,385,308
Total of all expenses incurred2017-12-31$5,731,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,362,461
Expenses. Certain deemed distributions of participant loans2017-12-31$26,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$10,992,506
Value of total assets at end of year2017-12-31$96,026,982
Value of total assets at beginning of year2017-12-31$77,372,870
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$342,279
Total interest from all sources2017-12-31$353,011
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,553,366
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,553,366
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$3,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$6,993,033
Participant contributions at end of year2017-12-31$2,318,865
Participant contributions at beginning of year2017-12-31$2,019,685
Assets. Other investments not covered elsewhere at end of year2017-12-31$705,807
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$490,929
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$939,237
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$3,461
Other income not declared elsewhere2017-12-31$71,038
Administrative expenses (other) incurred2017-12-31$240,537
Total non interest bearing cash at end of year2017-12-31$27,950
Total non interest bearing cash at beginning of year2017-12-31$6,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$18,654,112
Value of net assets at end of year (total assets less liabilities)2017-12-31$96,026,982
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$77,372,870
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$101,442
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$79,717,204
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$62,294,977
Value of interest in pooled separate accounts at end of year2017-12-31$894,736
Value of interest in pooled separate accounts at beginning of year2017-12-31$614,884
Interest on participant loans2017-12-31$91,532
Interest earned on other investments2017-12-31$261,468
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$22,063
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$33,299
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$33,299
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$11
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$12,336,896
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$11,883,992
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$11,246,205
Net investment gain/loss from pooled separate accounts2017-12-31$169,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,060,236
Employer contributions (assets) at beginning of year2017-12-31$29,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,362,461
Contract administrator fees2017-12-31$300
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2017-12-31360859910
2016 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$13,627,070
Total of all expenses incurred2016-12-31$6,585,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,178,270
Expenses. Certain deemed distributions of participant loans2016-12-31$51,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,630,714
Value of total assets at end of year2016-12-31$77,372,870
Value of total assets at beginning of year2016-12-31$70,330,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$355,507
Total interest from all sources2016-12-31$326,418
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,158,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,158,353
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$3,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$6,137,724
Participant contributions at end of year2016-12-31$2,019,685
Participant contributions at beginning of year2016-12-31$1,990,898
Participant contributions at beginning of year2016-12-31$382
Assets. Other investments not covered elsewhere at end of year2016-12-31$490,929
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$2,492,990
Other income not declared elsewhere2016-12-31$124
Administrative expenses (other) incurred2016-12-31$257,194
Total non interest bearing cash at end of year2016-12-31$6,054
Total non interest bearing cash at beginning of year2016-12-31$39,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$7,041,945
Value of net assets at end of year (total assets less liabilities)2016-12-31$77,372,870
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$70,330,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$98,313
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$62,294,977
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$55,010,201
Value of interest in pooled separate accounts at end of year2016-12-31$614,884
Value of interest in pooled separate accounts at beginning of year2016-12-31$686,900
Interest on participant loans2016-12-31$78,815
Interest earned on other investments2016-12-31$247,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$33,299
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$29,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$29,302
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$11,883,992
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$9,726,954
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$3,511,461
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Employer contributions (assets) at end of year2016-12-31$29,050
Employer contributions (assets) at beginning of year2016-12-31$2,847,196
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$6,178,270
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MILLER, KAPLAN, ARASE & CO LLP
Accountancy firm EIN2016-12-31952036255
2015 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$10,119,606
Total of all expenses incurred2015-12-31$4,011,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,663,732
Expenses. Certain deemed distributions of participant loans2015-12-31$11,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$10,299,490
Value of total assets at end of year2015-12-31$70,330,925
Value of total assets at beginning of year2015-12-31$64,222,719
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$336,076
Total interest from all sources2015-12-31$278,931
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$735,113
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$735,113
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$5,472,845
Participant contributions at end of year2015-12-31$1,990,898
Participant contributions at beginning of year2015-12-31$1,787,809
Participant contributions at end of year2015-12-31$382
Participant contributions at beginning of year2015-12-31$217
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,988,943
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,924
Administrative expenses (other) incurred2015-12-31$232,851
Total non interest bearing cash at end of year2015-12-31$39,092
Total non interest bearing cash at beginning of year2015-12-31$39,213
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$6,108,206
Value of net assets at end of year (total assets less liabilities)2015-12-31$70,330,925
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$64,222,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$103,225
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$55,010,201
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$50,594,815
Value of interest in pooled separate accounts at end of year2015-12-31$686,900
Value of interest in pooled separate accounts at beginning of year2015-12-31$826,506
Interest on participant loans2015-12-31$66,351
Interest earned on other investments2015-12-31$212,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$29,302
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$6,767
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$6,767
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$9,726,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$8,550,664
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,193,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,837,702
Employer contributions (assets) at end of year2015-12-31$2,847,196
Employer contributions (assets) at beginning of year2015-12-31$2,414,804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,663,732
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MILLER, KAPLAN, ARASE & CO LLP
Accountancy firm EIN2015-12-31952036255
2014 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2014 401k financial data
Total transfer of assets to this plan2014-12-31$51,947
Total income from all sources (including contributions)2014-12-31$14,716,984
Total of all expenses incurred2014-12-31$3,482,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,203,792
Expenses. Certain deemed distributions of participant loans2014-12-31$14,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$10,279,994
Value of total assets at end of year2014-12-31$64,222,719
Value of total assets at beginning of year2014-12-31$52,935,847
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$264,083
Total interest from all sources2014-12-31$264,754
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$630,004
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$630,004
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$4,696,694
Participant contributions at end of year2014-12-31$1,787,809
Participant contributions at beginning of year2014-12-31$407,390
Participant contributions at end of year2014-12-31$217
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,151,544
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,924
Administrative expenses (other) incurred2014-12-31$201,662
Total non interest bearing cash at end of year2014-12-31$39,213
Total non interest bearing cash at beginning of year2014-12-31$50,588,995
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$11,234,925
Value of net assets at end of year (total assets less liabilities)2014-12-31$64,222,719
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$52,935,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$62,421
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$50,594,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$185,701
Value of interest in pooled separate accounts at end of year2014-12-31$826,506
Value of interest in pooled separate accounts at beginning of year2014-12-31$805,192
Interest on participant loans2014-12-31$50,537
Interest earned on other investments2014-12-31$214,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$6,767
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$8,550,664
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$948,569
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,475,811
Net investment gain/loss from pooled separate accounts2014-12-31$66,421
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,431,756
Employer contributions (assets) at end of year2014-12-31$2,414,804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,203,792
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MILLER, KAPLAN, ARASE & CO LLP
Accountancy firm EIN2014-12-31952036255
2013 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$11,863,793
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,606,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,355,556
Expenses. Certain deemed distributions of participant loans2013-12-31$149,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,040,543
Value of total assets at end of year2013-12-31$52,935,847
Value of total assets at beginning of year2013-12-31$45,678,495
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$101,186
Total interest from all sources2013-12-31$213,370
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$976,981
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$976,981
Administrative expenses professional fees incurred2013-12-31$87,540
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$3,761,006
Participant contributions at end of year2013-12-31$407,390
Participant contributions at beginning of year2013-12-31$578,360
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$279,537
Other income not declared elsewhere2013-12-31$97,304
Total non interest bearing cash at end of year2013-12-31$50,588,995
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$7,257,352
Value of net assets at end of year (total assets less liabilities)2013-12-31$52,935,847
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$45,678,495
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$185,701
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$32,883,537
Value of interest in pooled separate accounts at end of year2013-12-31$805,192
Value of interest in pooled separate accounts at beginning of year2013-12-31$668,964
Interest on participant loans2013-12-31$32,801
Interest earned on other investments2013-12-31$180,569
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,998
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,998
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$948,569
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$9,744,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$6,535,595
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$1,800,127
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$4,355,556
Contract administrator fees2013-12-31$13,646
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MILLER, KAPLAN, ARASE & CO LLP
Accountancy firm EIN2013-12-31952036255
2012 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$9,878,989
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,116,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,058,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,529,577
Value of total assets at end of year2012-12-31$45,678,495
Value of total assets at beginning of year2012-12-31$37,916,322
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$57,925
Total interest from all sources2012-12-31$209,549
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$719,908
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$719,908
Administrative expenses professional fees incurred2012-12-31$52,489
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,637,816
Participant contributions at end of year2012-12-31$578,360
Participant contributions at beginning of year2012-12-31$307,833
Participant contributions at beginning of year2012-12-31$125,892
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$80,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$7,762,173
Value of net assets at end of year (total assets less liabilities)2012-12-31$45,678,495
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$37,916,322
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$32,883,537
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$8,701,838
Value of interest in pooled separate accounts at end of year2012-12-31$668,964
Value of interest in pooled separate accounts at beginning of year2012-12-31$19,094,654
Interest on participant loans2012-12-31$9,448
Interest earned on other investments2012-12-31$200,101
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,998
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,608
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$9,744,509
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$7,952,577
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$3,419,955
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,811,754
Employer contributions (assets) at end of year2012-12-31$1,800,127
Employer contributions (assets) at beginning of year2012-12-31$1,731,920
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,058,891
Contract administrator fees2012-12-31$5,436
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31MILLER, KAPLAN, ARASE & CO LLP
Accountancy firm EIN2012-12-31952036255
2011 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$5,100,311
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,838,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,828,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,494,280
Value of total assets at end of year2011-12-31$37,916,322
Value of total assets at beginning of year2011-12-31$34,654,224
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$9,770
Total interest from all sources2011-12-31$21,979
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,447,702
Participant contributions at end of year2011-12-31$307,833
Participant contributions at beginning of year2011-12-31$760,644
Participant contributions at end of year2011-12-31$125,892
Participant contributions at beginning of year2011-12-31$102,897
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$275,707
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$3,262,098
Value of net assets at end of year (total assets less liabilities)2011-12-31$37,916,322
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$34,654,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$8,701,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$7,200,024
Value of interest in pooled separate accounts at end of year2011-12-31$19,094,654
Value of interest in pooled separate accounts at beginning of year2011-12-31$19,006,600
Interest on participant loans2011-12-31$19,507
Interest earned on other investments2011-12-31$2,472
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,608
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$49,260
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$49,260
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$7,952,577
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$5,859,340
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-491,607
Net investment gain/loss from pooled separate accounts2011-12-31$75,659
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,770,871
Employer contributions (assets) at end of year2011-12-31$1,731,920
Employer contributions (assets) at beginning of year2011-12-31$1,675,459
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,828,443
Contract administrator fees2011-12-31$9,770
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2011-12-31952036255
2010 : HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$563,405
Total unrealized appreciation/depreciation of assets2010-12-31$563,405
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$8,166,443
Total loss/gain on sale of assets2010-12-31$-9,277
Total of all expenses incurred2010-12-31$1,254,396
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,247,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,878,912
Value of total assets at end of year2010-12-31$34,654,224
Value of total assets at beginning of year2010-12-31$27,742,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$6,569
Total interest from all sources2010-12-31$227,514
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$127,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$3,141,970
Participant contributions at end of year2010-12-31$760,644
Participant contributions at beginning of year2010-12-31$705,678
Participant contributions at end of year2010-12-31$102,897
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$9,060
Other income not declared elsewhere2010-12-31$-11,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$6,912,047
Value of net assets at end of year (total assets less liabilities)2010-12-31$34,654,224
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$27,742,177
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$2,118
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$7,200,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$5,647,003
Value of interest in pooled separate accounts at end of year2010-12-31$19,006,600
Value of interest in pooled separate accounts at beginning of year2010-12-31$14,688,038
Income. Interest from loans (other than to participants)2010-12-31$9,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$49,260
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$34,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$34,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$217,957
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$5,859,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$5,236,898
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,321,058
Net investment gain/loss from pooled separate accounts2010-12-31$68,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,727,882
Employer contributions (assets) at end of year2010-12-31$1,675,459
Employer contributions (assets) at beginning of year2010-12-31$1,429,904
Income. Dividends from common stock2010-12-31$127,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,247,827
Contract administrator fees2010-12-31$4,451
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$1,724,973
Aggregate carrying amount (costs) on sale of assets2010-12-31$1,734,250
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2010-12-31952036255

Form 5500 Responses for HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN

2022: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: HENRY MAYO NEWHALL MEMORIAL HOSPITAL & FOUNDATION RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number407798
Policy instance 3
Insurance contract or identification number407798
Number of Individuals Covered321
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 2
Insurance contract or identification number1083418
Number of Individuals Covered33
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,920
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,920
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 1
Insurance contract or identification numberCR32390
Number of Individuals Covered51
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,979
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,979
Insurance broker organization code?4
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number407798
Policy instance 3
Insurance contract or identification number407798
Number of Individuals Covered302
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 2
Insurance contract or identification number1083418
Number of Individuals Covered36
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $9,592
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,592
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 1
Insurance contract or identification numberCR32390
Number of Individuals Covered53
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,757
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,757
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 1
Insurance contract or identification numberCR32390
Number of Individuals Covered54
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,790
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,790
Insurance broker organization code?4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 2
Insurance contract or identification number1083418
Number of Individuals Covered36
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number407798
Policy instance 3
Insurance contract or identification number407798
Number of Individuals Covered307
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number407798
Policy instance 4
Insurance contract or identification number407798
Number of Individuals Covered258
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069535
Policy instance 3
Insurance contract or identification numberTA069535
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-07-02
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 2
Insurance contract or identification number1083418
Number of Individuals Covered37
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 1
Insurance contract or identification numberCR32390
Number of Individuals Covered54
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,674
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,674
Insurance broker organization code?4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 3
Insurance contract or identification number1083418
Number of Individuals Covered39
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 2
Insurance contract or identification numberCR32390
Number of Individuals Covered54
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,745
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,745
Insurance broker organization code?4
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069535
Policy instance 1
Insurance contract or identification numberTA069535
Number of Individuals Covered1414
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 3
Insurance contract or identification number1083418
Number of Individuals Covered43
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 2
Insurance contract or identification numberCR32390
Number of Individuals Covered57
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069535
Policy instance 1
Insurance contract or identification numberTA069535
Number of Individuals Covered1332
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069535
Policy instance 1
Insurance contract or identification numberTA069535
Number of Individuals Covered1096
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 3
Insurance contract or identification number1083418
Number of Individuals Covered52
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 2
Insurance contract or identification numberCR32390
Number of Individuals Covered65
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069535
Policy instance 1
Insurance contract or identification numberTA069535
Number of Individuals Covered984
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 2
Insurance contract or identification numberCR32390
Number of Individuals Covered72
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $23
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 3
Insurance contract or identification number1083418
Number of Individuals Covered54
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 2
Insurance contract or identification numberCR32390
Number of Individuals Covered77
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $277
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $277
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 1
Insurance contract or identification number1083418
Number of Individuals Covered53
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893383007
Policy instance 3
Insurance contract or identification number893383007
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,789
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,789
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number3298,32390
Policy instance 2
Insurance contract or identification number3298,32390
Number of Individuals Covered81
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $17,344
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,344
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893383007
Policy instance 3
Insurance contract or identification number893383007
Number of Individuals Covered279
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,293
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,293
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 1
Insurance contract or identification number1083418
Number of Individuals Covered58
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 2
Insurance contract or identification number1083418
Number of Individuals Covered60
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 1
Insurance contract or identification numberCR32390
Number of Individuals Covered514
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $111,864
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32390
Policy instance 2
Insurance contract or identification numberCR32390
Number of Individuals Covered525
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $89,274
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1083418
Policy instance 1
Insurance contract or identification number1083418
Number of Individuals Covered62
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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